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Organization

GENOVESE PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA GENOVESE M.D. (OWNER/PHYSICIAN)
(609) 245-0416
Entity
Organization

Contact information

Practice address
639 STOKES RD, SUITE 102, MEDFORD, NJ 08055-3003
(609) 245-0416
(609) 245-0419
Mailing address
639 STOKES RD, SUITE 102, MEDFORD, NJ 08055-3003
(609) 245-0416
(609) 245-0419

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08575200
NJ

Other

Enumeration date
04/30/2015
Last updated
07/10/2015
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